WE ARE in-network with the following insurance plans:
aetna
cigna
United HealthCare/United Behavioral Health (UHC/UBH)
Optum Behavioral Health
We are CONSIDERED OUT-OF-NETWORK FOR ALl Other INSURANCE COMPANIES.
Most insurance companies offer out-of-network benefits. If you would like to use these benefits to help cover the cost of your therapy, you will pay the full cost of your session on the day of the appointment. I will then provide you a receipt, otherwise known as a “superbill,” that you will be responsible for submitting directly to your insurance company.
I recommend asking your insurance company the following questions:
Do I have out-of-network benefits for mental health services provided via telehealth?
Do I have a deductible? If yes, how much is it, and have I met it yet?
Does my plan limit how many sessions I can have per year? If yes, what is the limit?
How much does my plan reimburse for an out-of-network provider?
How do I submit receipts for reimbursement?
Counseling functions as it should when appointments are consistent.
we require clients to provide the practice with 24 hours advanced notice for changes to scheduled sessions. this can be done by contacting the practice or canceling/rescheduling your appointment in the client portal.
If such notice is not provided, or if you do not attend a scheduled session, a fee equal to a full session rate will be applied to your account. SOME LIMITED EXCEPTIONS ARE MADE FOR EMERGENCIEs.
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Your health care provider should give you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises
At Modern Counseling we simplify the payment process. When your initial session is scheduled, you will be prompted to put a credit/debit card on file. Your card information will be safe and secure in your client portal. We accept all major credit cards, as well as Flexible Spending Account (FSA) and Health Savings Account (HSA) cards. Payment is charged during each session through our system. If there is an error with charging your card, your counselor will let you know.
At Modern Counseling we simplify the payment process. When your initial session is scheduled, you will be prompted to put a credit/debit card on file. Your card information will be safe and secure in your client portal. We accept all major credit cards, as well as Flexible Spending Account (FSA) and Health Savings Account (HSA) cards. Payment is charged during each session through our system. If there is an error with charging your card, your counselor will let you know.
WE ARE IN-NETWORK WITH THE FOLLOWING INSURANCE PLANS: AEtna cigna UNITED HEALTHCARE/UNITED BEHAVIORAL HEALTH (UHC/UBH) OPTUM BEHAVIORAL HEALTH
WE ARE CONSIDERED OUT-OF-NETWORK FOR ALL other INSURANCE COMPANIES.
MOST INSURANCE COMPANIES OFFER OUT-OF-NETWORK BENEFITS. IF YOU WOULD LIKE TO USE THESE BENEFITS TO HELP COVER THE COST OF YOUR THERAPY, YOU WILL PAY THE FULL COST OF YOUR SESSION ON THE DAY OF THE APPOINTMENT. I WILL THEN PROVIDE YOU A RECEIPT, OTHERWISE KNOWN AS A “SUPERBILL,” THAT YOU WILL BE RESPONSIBLE FOR SUBMITTING DIRECTLY TO YOUR INSURANCE COMPANY.
I RECOMMEND ASKING YOUR INSURANCE COMPANY THE FOLLOWING QUESTIONS:
DO I HAVE OUT-OF-NETWORK BENEFITS FOR MENTAL HEALTH SERVICES PROVIDED VIA TELEHEALTH?
DO I HAVE A DEDUCTIBLE? IF YES, HOW MUCH IS IT, AND HAVE I MET IT YET?
DOES MY PLAN LIMIT HOW MANY SESSIONS I CAN HAVE PER YEAR? IF YES, WHAT IS THE LIMIT?
HOW MUCH DOES MY PLAN REIMBURSE FOR AN OUT-OF-NETWORK PROVIDER?
HOW DO I SUBMIT RECEIPTS FOR REIMBURSEMENT?
COUNSELING FUNCTIONS AS IT SHOULD WHEN APPOINTMENTS ARE CONSISTENT.
WE REQUIRE CLIENTS TO PROVIDE THE PRACTICE WITH 24 HOURS ADVANCED NOTICE FOR CHANGES TO SCHEDULED SESSIONS. THIS CAN BE DONE BY CONTACTING THE PRACTICE OR CANCELING/RESCHEDULING YOUR APPOINTMENT IN THE CLIENT PORTAL.
IF SUCH NOTICE IS NOT PROVIDED, OR IF YOU DO NOT ATTEND A SCHEDULED SESSION, A FEE EQUAL TO A FULL SESSION RATE WILL BE APPLIED TO YOUR ACCOUNT. SOME LIMITED EXCEPTIONS ARE MADE FOR EMERGENCIES.
UNDER SECTION 2799B-6 OF THE PUBLIC HEALTH SERVICE ACT, HEALTH CARE PROVIDERS AND HEALTH CARE FACILITIES ARE REQUIRED TO INFORM INDIVIDUALS WHO ARE NOT ENROLLED IN A PLAN OR COVERAGE OR A FEDERAL HEALTH CARE PROGRAM, OR NOT SEEKING TO FILE A CLAIM WITH THEIR PLAN OR COVERAGE BOTH ORALLY AND IN WRITING OF THEIR ABILITY, UPON REQUEST OR AT THE TIME OF SCHEDULING HEALTH CARE ITEMS AND SERVICES, TO RECEIVE A “GOOD FAITH ESTIMATE” OF EXPECTED CHARGES.
YOU HAVE THE RIGHT TO RECEIVE A “GOOD FAITH ESTIMATE” EXPLAINING HOW MUCH YOUR MEDICAL CARE WILL COST.
UNDER THE LAW, HEALTH CARE PROVIDERS NEED TO GIVE PATIENTS WHO DON’T HAVE INSURANCE OR WHO ARE NOT USING INSURANCE AN ESTIMATE OF THE BILL FOR MEDICAL ITEMS AND SERVICES.
YOU HAVE THE RIGHT TO RECEIVE A GOOD FAITH ESTIMATE FOR THE TOTAL EXPECTED COST OF ANY NON-EMERGENCY ITEMS OR SERVICES. THIS INCLUDES RELATED COSTS LIKE MEDICAL TESTS, PRESCRIPTION DRUGS, EQUIPMENT, AND HOSPITAL FEES.
YOUR HEALTH CARE PROVIDER SHOULD GIVE YOU A GOOD FAITH ESTIMATE IN WRITING AT LEAST 1 BUSINESS DAY BEFORE YOUR MEDICAL SERVICE OR ITEM. YOU CAN ALSO ASK YOUR HEALTHCARE PROVIDER, AND ANY OTHER PROVIDER YOU CHOOSE, FOR A GOOD FAITH ESTIMATE BEFORE YOU SCHEDULE AN ITEM OR SERVICE.
MAKE SURE TO SAVE A COPY OR PICTURE OF YOUR GOOD FAITH ESTIMATE. FOR QUESTIONS OR MORE INFORMATION ABOUT YOUR RIGHT TO A GOOD FAITH ESTIMATE, VISIT WWW.CMS.GOV/NOSURPRISES